Individual provider Active NPI

Nicanor C Sutingco

  • Obesity Medicine (Family Medicine) Physician
  • Hampton, VA
National Provider Identifier
1770745903
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
0101028727 Issued in VA
Practice address
2214 Executive Dr
Ste. B
Hampton, VA 23666-6606
Phone
(757) 826-3733
NPI assigned
Jun 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 0101028727 VA Primary

Addresses

Primary practice location

2214 Executive Dr
Ste. B
Hampton, VA 23666-6606

Mailing address

2214 Executive Dr
Ste. B
Hampton, VA 23666-6606
Phone (757) 826-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101028727VAMDObesity Medicine (Family Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214697600000",
    "number": "1770745903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 EXECUTIVE DR",
            "address_2": "STE. B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666606",
            "telephone_number": "757-826-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 EXECUTIVE DR",
            "address_2": "STE. B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666606",
            "telephone_number": "757-826-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTINGCO",
        "first_name": "NICANOR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101028727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.